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COMMUNITY BRIDGES INC NPI 1093960304

NPI Profile

NPI: 1093960304

Provider Name: COMMUNITY BRIDGES, INC

Doing Business As: GLOBE STABILIZATION AND RECOVERY UNIT

Classification: Community/Behavioral Health - 251S00000X

Entity Type: Organization

Address:
5734 EAST HOPE DRIVE
SUITE 2
GLOBE, AZ
ZIP 85501

Phone: (928) 425-2415

COMMUNITY BRIDGES, INC is a community/behavioral health in Globe, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY BRIDGES, INC NPI is 1093960304. The provider is registered as an organization entity type.
The provider Is Doing Business As Globe Stabilization And Recovery Unit.

The provider's business location address is:

5734 EAST HOPE DRIVE
SUITE 2
GLOBE, AZ
ZIP 85501
Phone: (928) 425-2415
Fax: (928) 425-2464

The provider's authorized official is John F Hogeboom .
The authorized official title is Vp/coo and has the following contact phone number (480) 831-7566.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 2/19/2015.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 251S00000X Community/Behavioral Health OTC6025 ARIZONA No
2 251J00000X Nursing Care OTC6025 ARIZONA No
3 261QM0850X Clinic/Center Adult Mental Health OTC6025 ARIZONA No
4 261QH0100X Clinic/Center Health Service OTC6025 ARIZONA No
5 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder OTC6025 ARIZONA No
6 261QR1300X Clinic/Center Rural Health OTC6025 ARIZONA No
7 291U00000X Clinical Medical Laboratory OTC6025 ARIZONA No
8 343900000X Non-emergency Medical Transport (VAN) OTC6025 ARIZONA No
9 251B00000X Case Management OTC6025 ARIZONA Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015